Da Vinci - Coverage Requirements Discovery
2.1.0-preview - STU 2 United States of America flag

Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

: CRD Coverage Classes Value Set - JSON Representation

Page standards status: Trial-use Maturity Level: 2

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{
  "resourceType" : "ValueSet",
  "id" : "coverageClass",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html\"><code>http://terminology.hl7.org/CodeSystem/coverage-class</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html#coverage-class-group\">group</a></td><td style=\"color: #cccccc\">Group</td><td>An employee group</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html#coverage-class-subgroup\">subgroup</a></td><td style=\"color: #cccccc\">SubGroup</td><td>A sub-group of an employee group</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html#coverage-class-plan\">plan</a></td><td style=\"color: #cccccc\">Plan</td><td>A specific suite of benefits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html#coverage-class-subplan\">subplan</a></td><td style=\"color: #cccccc\">SubPlan</td><td>A subset of a specific suite of benefits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html#coverage-class-class\">class</a></td><td style=\"color: #cccccc\">Class</td><td>A class of benefits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html#coverage-class-subclass\">subclass</a></td><td style=\"color: #cccccc\">SubClass</td><td>A subset of a class of benefits.</td></tr><tr><td><a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-coverage-class.html#coverage-class-sequence\">sequence</a></td><td style=\"color: #cccccc\">Sequence</td><td>A sequence number associated with a short-term continuance of the coverage.</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/coverageClass",
  "version" : "2.1.0-preview",
  "name" : "CRDCoverageClasses",
  "title" : "CRD Coverage Classes Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-04-15T16:56:01+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "Restriction of coverage classes for CRD purposes",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
        "concept" : [
          {
            "code" : "group"
          },
          {
            "code" : "subgroup"
          },
          {
            "code" : "plan"
          },
          {
            "code" : "subplan"
          },
          {
            "code" : "class"
          },
          {
            "code" : "subclass"
          },
          {
            "code" : "sequence"
          }
        ]
      }
    ]
  }
}